People who are unsatisfied with the size, shape, or general appearance of their breasts may be good candidates for breast augmentation. Cosmetic surgeon Dr. Tehrani has a few requirements and recommendations for people seeking to undergo plastic surgery, including:
Good candidates for breast augmentation should also have realistic expectations of what the procedure can achieve and be able to take the necessary time off for recovery.
The most popular plastic surgery procedure, year after year, breast augmentation, or augmentation mammaplasty, is a cosmetic procedure that increases the size of breasts by using implants or fat grafting. A highly customizable procedure, due to the availability of multiple implant shapes, sizes, and placement options, breast augmentation helps people achieve a proportional, voluptuous figure for years to come.
For some patients, implants can be paired with a breast lift. This is often in cases where the breast tissue or skin has been stretched beyond what the breast implant can “fill.” Reshaping the breast tissue with a breast lift allows Dr. Tehrani to create a youthful chest appearance, correcting issues such as sagging breast tissue or excess skin while also boosting the overall size of the breasts.
One of the biggest concerns people have when researching breast augmentation in Newport Beach, CA, is how to pick the “right implant size.” Dr. Tehrani tells patients that the specific size, shape, and material of their breast implants are a completely personalized decision that they will make together with them during consultations.
Before scheduling a breast augmentation procedure, you and your cosmetic surgeon will spend time trying on implant sizers with a non-padded bra and your own clothing to see what size you feel comfortable with. You can spend as much time with sizers as you need and have multiple visits to try on multiple sizers.
As you narrow down what specific size you want, you’ll also choose a material and shape for your breast implants. All the breast implants we provide at the Gallery of Cosmetic Surgery are FDA-approved.
Saline breast implants are filled with a sterile saltwater solution that can be safely absorbed by the body in case of leak or rupture. These implants can be inserted unfilled, meaning the incision needed can be smaller than with other implant types.
Some patients say that saline implants aren’t as good at replicating natural breast tissue as more advanced silicone gel implants, but they can offer great results with our expert implant placement techniques.
Silicone breast implants look and feel very similar to your natural tissue. However, because the body can’t naturally absorb the sterile silicone gel, patients with these implants need to be watchful for rupture, as the symptoms of implant failure are more subtle than in saline implants. Watch for deformation in the shape of the breast or increased firmness as a result of scar tissue forming around the leak.
If you’re not interested in either saline or silicone implants, you have another option for increasing your breast size, the natural way. Using liposuction, breast surgeon Dr. Tehrani collects fat from a region of excess fat on your body, such as the hips, thighs, or abdomen, and purifies it using a centrifuge. Then, the purified fat cells are injected in multiple locations throughout the breasts, increasing volume without the need for long incisions.
Although fat transfer breast augmentation is a way to augment breast volume permanently, it isn’t capable of achieving the dramatic results that implants can, often only increasing breast size by a cup size or so.
After you have chosen your implant during a consultation with Dr. Tehrani, you will discuss the ideal incision and placement options for your unique procedure. Certain types of implants may require certain incisions, and Dr. Tehrani will ensure that you are aware of all your options given the specific goals and implant type of your unique procedure.
In some cases, breast implants can be inserted using only a half-moon incision around the bottom of the areola, concealing any scarring in the border where the skin color changes from the breast to the nipple.
The most commonly performed incision is in the inframammary fold, or breast crease, beneath each breast. This allows the scar to be easily concealed in low-cut clothing or swimwear. An inframammary incision gives Dr. Tehrani the greatest visibility to breast tissue and the most direct access to implant placement.
For patients who don’t want any visible scar on the breast at all, it may be possible to perform a breast augmentation with an incision in the underarm area. This technique may not be possible with all implant types and sizes, or because of your unique anatomy, Dr. Tehrani can help you figure out if you’re eligible for this procedure during consultations about breast augmentation in Newport Beach, CA.
Where a breast implant is placed also has an effect on the appearance and feel of both silicone and saline implants. Depending on your aesthetic goals and personalized treatment plan, you may be able to have a subglandular or submuscular placement. Dr. Tehrani uses the Keller funnel for easy, accurate placement of implants in the breast pocket.
For some patients, using an “internal bra” (a combination of meticulous internal sutures and/or a surgical scaffold) can be beneficial for patients receiving implants. This technique can provide additional support to the breast tissue and implant during healing. It can also improve the longevity of your surgery by supporting the breast tissue long-term. This can be particularly beneficial for women who have thin breast tissue to start with or who are choosing a very full implant size.
When breast implants are inserted above the pectoralis muscle of the chest wall, but below the existing breast tissue, they are said to be subglandular. The benefits of this plastic surgery technique are that patients experience less discomfort after the procedure, and these implants tend to stay put better than submuscular ones. However, subglandular placement often appears more artificial and is correlated with higher instances of capsular contracture, where scar tissue becomes hardened around the implant.
Breast implants can also be placed partially below the chest muscle for a submuscular placement option. This procedure allows for a more natural final result of breast augmentation with certain implant types, but can extend the healing process and cause patients to feel more discomfort after surgery.
When you visit Dr. Tehrani for your initial consultation, you will cover many topics, including implant size, shape, position, and texture, as well as specific breast augmentation procedures and potential combination procedures. In addition, Dr. Tehrani will complete a thorough medical history and give you a physical examination to determine the best course of treatment for your health and the results of your breast enlargement.
Dr. Tehrani encourages patients to bring photos of other breast augmentation patients who have a similar size and shape to what they are hoping to achieve. This helps them better understand exactly what you’re looking for, as well as recommend techniques for how best to achieve your ideal look.
Breast augmentation is performed under general anesthesia in the Gallery of Cosmetic Surgery’s accredited surgical facility. The length of surgery can range from 2 to 4 hours, depending on the complexity of the case and your unique surgical plan.
During the procedure, Dr. Tehrani first creates a pocket for the implant (usually under the muscle). This pocket is meticulously created with your overall goal and shape in mind. Once the pocket is formed, your cosmetic surgeon uses implant sizers to make modifications to improve the shape and symmetry of the breasts. Finally, the implants will be placed in the implant pocket. Your incisions will be closed carefully in order to create the best possible scar.
A saline implant can be placed before it is filled with saline solution, meaning it requires a smaller incision. Silicone implants are pre-filled and therefore require slightly larger incisions.
Implants typically take about 3 months to “settle” into their final position. This is sometimes referred to as the “drop and fluff” process. At first, your implants will look high and boxy. As they settle, they will look softer and rounder, and your cleavage will improve. Until your implants settle, you should wear a non-underwire bra like the one we send you home wearing. Dr. Tehrani will let you know during follow-up appointments when your implants have settled and you are cleared to wear underwire bras (typically at 3 months).
Dr. Tehrani also assists breast augmentation patients with scar care during follow-up appointments if desired. The plan usually starts with scar cream or scar tape around 6 weeks after your surgery and continues for at least one year.
Breast augmentation is a hugely popular and deeply personal procedure, which is why it’s so valuable to have a consultation with a breast augmentation surgeon like Dr. Tehrani to learn more about the procedure and what it can accomplish for you personally. Dr. Tehrani is an accomplished professional and genuinely kind plastic surgeon serving Orange County and Newport Beach patients. You can start the process by calling us at (949) 577-8180 or filling out a contact form on our website.
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